Healthcare Provider Details

I. General information

NPI: 1386086999
Provider Name (Legal Business Name): DR. ERIK YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1729 W BROADWAY
COLUMBIA MO
65203-1190
US

IV. Provider business mailing address

8 WARCHOL CT
DARDENNE PRAIRIE MO
63368-3590
US

V. Phone/Fax

Practice location:
  • Phone: 573-445-9451
  • Fax:
Mailing address:
  • Phone: 765-543-1648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2012017547
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: